Food Establishment Inspection Report |
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FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS |
Circle designated compliance status (IN, OUT, N/O, N/A) for each numbered item IN=in compliance OUT=not in compliance N/O=not observed N/A=not applicable Mark "X" in appropriate box for COS and/or R COS=corrected on-site during inspection R=repeat violation |
Risk factors are important practices or procedures identified as the most prevalent contributing factors of foodborne illness or injury. Public health interventions are control measures to prevent foodborne illness or injury. |
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GOOD RETAIL PRACTICES |
Good Retail Practices are preventative measures to control the addition of pathogens, chemicals, and physical objects into foods. Mark "X" in appropriate box for COS and/or R COS=corrected on site during inspectionR=repeat violation |
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IOCI 17-356
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Food Establishment Inspection Report |
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Establishments: GARDEN OF PRAYER SAFE HAVEN YOUTH CENTER | Establishment #: AP018 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: CHLORINE 100 | Heat: NA °F |
CFPM Verification (name, ID#, expiration date): | |||
KENNETH CRITE 2889728 10/10/2028 |
KATHY SMITH 25260092 02/22/2029 |
DONNA JOHNSON 25260063 02/22/2029 |
YETHA MALONEY 19840658 08/26/2025 |
TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
slice cheese/white side-by-side | 33.00°F | milk/lower white | 38.00°F | mayo/lower white by door | 41.00°F |
all/stainless 2 door | 0.00°F | sloppy joe/pan on stove | 209.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
16 | PF |
4-601.11(A): (A) EQUIPMENT FOOD-CONTACT SURFACES and UTENSILS shall be clean to sight and touch. Observed an accumulation of debris on the food contact surface of the table can opener. Corrected on site. - COS,Repeat (Correct By: Nov 6, 2020) |
56 | C |
6-501.14: (A) Intake and exhaust air ducts shall be cleaned and filters changed so they are not a source of contamination by dust, dirt, and other materials.
(B) If vented to the outside, ventilation systems may not create a public health HAZARD or nuisance or unLAWful discharge. Observed an accumulation of dust on the side by side stainless cooler condenser exhaust. Clean and maintain for next routine inspection. COS,Repeat |
Inspection Comments | ALL STAFF WEARING MASKS. ASKED HEALTH QUESTION AND TEMPERATURE TAKEN UPON ENTERING. |
HACCP Topic: PROPER HANDWASHING |
Person In ChargeDONNA/MS BENDER |
Date:11/06/2020 |
InspectorJulie Larsen |
Follow-up: Yes No Follow-up Date: |